Internal Hemorrhoids: Causes, Symptoms, and What You Can Do

When you hear internal hemorrhoids, swollen veins inside the rectum that often don’t cause pain but can bleed and prolapse. Also known as rectal varicose veins, they’re one of the most common digestive issues—and one of the least talked about. Unlike external hemorrhoids, which can feel like a tender lump near the anus, internal ones hide inside. That’s why so many people ignore them until they bleed during a bowel movement—or worse, until they can’t ignore the discomfort anymore.

These aren’t rare. About half of all adults will deal with them by age 50. They happen when pressure builds up in the rectal veins—usually from straining during bowel movements, long periods of sitting, pregnancy, or chronic constipation. You won’t always feel them, but you’ll know something’s off when you see bright red blood on the toilet paper, in the bowl, or on your underwear. That’s not normal. And no, it’s not always cancer. But it’s also not something to brush off.

What makes internal hemorrhoids tricky is how they hide. No pain doesn’t mean no problem. Left untreated, they can swell, prolapse, or even become strangulated. That’s when blood flow cuts off and things get serious fast. Some people try over-the-counter creams or sitz baths. Others adjust their diet, drink more water, or start taking fiber supplements. But what works for one person might not work for another. That’s why understanding your own body matters more than any quick fix.

There’s a lot of misinformation out there. Some say sitting on ice helps. Others swear by herbal teas. But the real solution? It’s not magic. It’s about knowing the triggers, recognizing the warning signs, and taking action before things escalate. You don’t need to suffer in silence. You don’t need to feel embarrassed. You just need clear, practical info.

Below, you’ll find real stories and science-backed advice from people who’ve been there. From how to tell if your bleeding is from hemorrhoids or something else, to what medications actually help—and which ones to avoid—you’ll see what’s working right now. You’ll also find guides on managing symptoms while you’re at work, traveling, or caring for kids. No fluff. No shame. Just what you need to take control.